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Frequently Asked Questions
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What is Medical Billing?
What is a Medical Biller?
What is a Billing Expert?
Where do Billers work?
Why does my company need Medical Billing services?
What medical specialties do you handle?
What is the benefit of filing claims electronically?
Where will the insurance companies send the payments?
Do you follow-up on unpaid claims?
How long is the set-up process?
Is there a set up fee ?
What is Medical Billing?
Medical billing is the practice of submitting claims to insurance companies or various government entities in order to receive payment for services provided to a patient by a medical doctor or other licensed health care provider. Medical billers usually work away from the public eye in the claims processing office, or in the billing department of a medical office, clinic or hospital. Many well trained and experienced billers set up their own home-based businesses.
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What is a Medical Biller?
Medical billers are important members of the medical office team. Their vast knowledge, flexibility, and skill comes into play each time a patient is seen by a provider. A claim is coded, billed, and processed. Somebody has to do all that and keep track of what was done and abide by all the rules involved in the process. The medical billing career offers challenges, rewarding experiences, and good pay. People who pay attention to detail and have good organizational skills do very well in this business. Typing or data entry, bookkeeping knowledge, computer knowledge and people skills enjoy this profession.
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What is a Billing Expert?
Medical billers are experts in the medical billing and coding process. They function as medical reimbursement consultants to medical practices to help them become more efficient. As you will quickly realize, the medical biller is seen as a patient's advocate and regarded as a healthcare provider's key to getting paid!
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Where do Billers work?
Medical billing and coding specialists work for practicing physicians and licensed healthcare practitioners in small to large group practices, dental offices, pharmacies, nursing homes, medical care facilities and clinics, rehabilitation centers, hospitals, insurance companies, health maintenance organizations (HMO's), and health data organizations, and those who persevere often work from home
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Why does my company need Medical Billing services?
Practices will save money in using medical billing services. Your practice is in business to make money and provide a service. Bottom lines will increase when outsourcing for medical billing. Your office staff will have more time and energy to devote to other areas of the practice in letting others take care of medical billing issues.
Medical billing providers specialize in the services they provide. They will have experience and will be less likely to commit errors.
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What medical specialties do you handle?
We are capable of handling any medical specialty. Contact us to learn more.
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What is the benefit of filing claims electronically?
Whereas paper claims submission takes 90-120 days, standard electronic claims filing allows reimbursement from the insurance companies within 7-21 days. Physicians who use all of our integrated services to their fullest capabilities receive payments in as little as 5-10 days. Also take advantage of the insurance companies capabilities of depositing your funds directly into your business checking account allowing for better cash flow accessibility.
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Where will the insurance companies send the payments?
All checks and EOBs (Explanation of Benefits) will be sent directly to your office. Since most insurance companies offer Electronic Remittance Advice (ERA), electronic versions of the EOBs, and electronic funds transfer (EFT), physicians can receive electronic EOBs and payments far quicker than the standard paper delivery. This makes the follow-up process efficient and speedy. For physical copies, you keep the checks and send us scanned copies of the EOBs, so that we can perform effective follow-up.
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Do you follow-up on unpaid claims?
Yes. Unless the non-payment is for a valid reason, such as a deductible, capitation, no coverage, or duplicate invoice, we reprocess the claim with any needed additional information.
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How long is the set-up process?
We can start the setup process immediately upon the signing of the contract. Generally, the process takes 3 - 7 days for most physicians. We can give you a more accurate estimate after reviewing your individual practice. If you do not have contracts with the individual insurance companies, this process may take longer.
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Is there a set up fee ?
We can give you a more accurate estimate after reviewing your individual practice.
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